Department of Ophthalmology, ICARE Eye Hospital and Postgraduate Institute, Noida, Uttar Pradesh, India.
Department of Pathology, Maulana Azad Medical College, New Delhi, India.
Indian J Ophthalmol. 2018 Jun;66(6):858-860. doi: 10.4103/ijo.IJO_1172_17.
Postoperative opacification of a hydrophilic acrylic intraocular lens (IOL) is an uncommon complication. A 57-year-old diabetic female who had undergone phacoemulsification with IOL implantation in her right eye 16 years back presented with diminution of vision in the same eye for 3 years. Significant IOL opacification was observed clinically and anterior segment optical coherence tomography clearly delineated the intraoptic deposits, sparing the haptics, and edges of the optic. IOL explant and exchange was performed leading to restoration of visual acuity to 6/9. Histochemical evaluation of the IOL confirmed that the hydrophilic acrylic IOL optic had calcium deposits.
术后亲水丙烯酸型人工晶状体(IOL)混浊是一种不常见的并发症。一位 57 岁的糖尿病女性,16 年前右眼行白内障超声乳化吸除联合 IOL 植入术,术后视力逐渐下降 3 年。临床检查发现明显的 IOL 混浊,眼前节光学相干断层扫描清楚地描绘了眼内沉积物,而保持了襻和光学区边缘的完整性。行 IOL 取出和置换术,术后视力恢复至 6/9。对 IOL 的组织化学评估证实亲水丙烯酸型 IOL 光学区有钙沉积。